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A 3-Day Intensive Hands-On Fellowship. Transition from open surgery to flawless minimally invasive execution. Master the camera, perfect your triangulation, and conquer intra-corporeal suturing through rigorous, standardized protocols.

Overcome the "2D screen" disconnect. Rewire your hand-eye coordination with high-repetition endotrainer drills designed to make your non-dominant hand equally lethal.

Eliminate the fear of initial access. Master the Veress needle, Hasson technique, and optical trocars to guarantee zero-injury abdominal entry.

Conquer the hardest skill in laparoscopy. Learn a foolproof, standardized, step-by-step method for intra-corporeal needle driving and knot tying.

Stop fighting your instruments. Learn the exact geometric principles of port placement and triangulation to eliminate operator fatigue and shoulder pain.
Morning Session – Induction & Technical Foundation
The Laparoscopic Tower:Â Understanding the light source, insufflator, camera processor, and CO2 management.
Pneumoperitoneum: Mastering safe entry techniques (Veress Needle vs. Hasson’s Open Method).
The Physics of Fulcrum:Â Understanding how the abdominal wall acts as a pivot and its impact on instrument movement.
Ergonomics: Proper table height and monitor positioning to prevent “Surgeon’s Neck” and fatigue.
Afternoon Session – The Precision Endotrainer Lab
2D to 3D Transition:Â Exercises to overcome the loss of depth perception.
Hand-Eye Coordination Drills: “Peg Transfer” and “Pattern Cutting” to build muscle memory.
Ambidexterity Training:Â Developing the non-dominant hand for retraction and assistance.
Theory Session – The Core Pillars
Energy Sources in Laparoscopy:Â Monopolar, Bipolar, and Ultrasonic shears (Harmonic) safety.
Complication Management:Â Immediate recognition of vascular or visceral injuries during entry.
Patient Selection: Contraindications for laparoscopy and when to “convert to open” surgery.
Morning Session – Live OT Observation
Diagnostic Laparoscopy:Â Systematic inspection of the peritoneal cavity.
Triangulation Principles: How to place ports to avoid “sword fighting” with instruments.
Live Case Flow:Â Observation of Laparoscopic Appendectomy and Cholecystectomy (Gallbladder removal).
Afternoon Session – Applied Mastery Workshop
Clip Application: Mastering the “C” and “U” maneuvers for cystic duct and artery ligation.
Dissection Techniques: “Cold” vs. “Hot” dissection and identifying the “Critical View of Safety.”
Specimen Retrieval:Â Using endobags and port-site management.
Morning Session – Translational Bio-Skills Lab
The “Gladiator” Technique: Mastering needle loading and orientation in the needle holder.
Intracorporeal Knot-Tying: Step-by-step drills for the “C-Loop” and “Reverse-C” square knots.
Extracorporeal Knotting: Using a Roeder’s knot and pushers for high-tension closures.
Tissue Handling: Practicing on biological membranes to learn the “feel” of tension and tear-resistance.
Afternoon Session – Assessment & Convocation
The FLS Competency Test:Â Timed performance of peg transfer, circle cutting, and one intracorporeal knot.
Individual Performance Review: Direct feedback from faculty on your “economy of motion.”
Convocation Ceremony: Awarding of the Certificate in Fundamentals of Laparoscopic Surgery.
Closing Remarks:Â Your roadmap to Advanced Laparoscopy (Hernia, Bariatric, and Colorectal).
The transition to Minimally Invasive Surgery (MIS) is notoriously steep. Poor triangulation, loss of tactile feedback, and a two-dimensional visual field lead to clumsy tissue handling, dangerous energy deployment, and prolonged OT times. Without structured simulation, mastering the intra-corporeal knot can take years of frustrating trial and error.
We strip away the guesswork. This fellowship provides a strict, protocol-driven approach to laparoscopy. Through intense dry-lab simulation and wet-lab tissue handling, you will build the precise muscle memory required to operate swiftly, safely, and seamlessly before you ever touch a live patient.

Drastically reduce your operative time by eliminating wasted movements and standardizing your laparoscopic workflow.

Build the foundational confidence required to move from basic diagnostic laparoscopy to complex resections and repairs.

Deliver the true promise of MIS: smaller incisions, less postoperative pain, shorter hospital stays, and faster recoveries.

This gold-standard credential is the essential prerequisite for advancing to specialized bariatric, colorectal, or hernia MIS fellowships.
Ready to master the essentials? Secure your spot in the Bio-Skills Lab today.
Unsure if this fits your current career stage? Schedule a clinical alignment call.
Globally recognized training and clinical research in Surgical Interventions under the mentorship of Dr Parameshwara CM
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